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Humana Senior Risk Management Professional in Overland Park, Kansas

Description

Interested in understanding the mechanics of performance in successful external audits, and providing digestible feedback for business operations to use to improve key metrics, often targeted for those audits, then please take a look at the following Senior Risk Management Professional role. In the role you will work with both internal and external teams to collect data, quantify it, and provide visualization detailing the current state of that performance in the Medicare space.

Responsibilities

The work will focus heavily on the Medicare CMS Program Audit space, working to identify issues and opportunities across the organization to improve Humana's overall performance in audits via the following items:

  • Assist in maintaining existing dashboards in Tableau

  • Collect data from external business partners and provide them with feedback on how to improve performance, monthly

  • Co-develop and design dashboards and reports

  • Meet with internal business partners to understand reporting needs

  • Create reports using existing DataMart via query building

  • Apply analysis over many months of data to identify consistent trends of performance issues

Required Qualifications

  • Bachelor's degree

  • 1+ yrs recent experience writing moderate to complex SQL queries

  • Experience with tools such as PowerBI, Tableau and/or Qlik for creating data visualizations

  • Comprehensive knowledge of Microsoft Suite, including ACCESS and Excel

Preferred Qualifications

  • At least 2 years experience creating SQL queries

  • Previous experience creating dashboards and/or visualization tools

  • Prior experience with Medicare or Medicaid operations or compliance

Additional Information

  • This position is open to working remote in the eastern time zone

  • We will require full COVID vaccination (https://www.cdc.gov/coronavirus/2019-ncov/vaccines/fully-vaccinated.html#vaccinated) for this job as we are a healthcare company committed to putting health and safety first for our members, patients, associates and the communities we serve.

  • If progressed to offer, you will be required to provide proof of full vaccination or documentation for a medical or religious exemption consideration where allowed by law.

Scheduled Weekly Hours

40

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

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